Active NPI
Tender Loving Care Health Care Services of Georgia, L.L.C.
Doing business as Staff Builders Home Health
- Home Health Agency
- College Park, GA
National Provider Identifier
1710134267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 060-286
- Legal business name
- TENDER LOVING CARE HEALTH CARE SERVICES OF GEORGIA, L.L.C.
- Doing business as
- Staff Builders Home Health
- Practice address
- 2314 Sullivan Rd
Suite 120
College Park, GA 30337-6306 - Phone
- (404) 684-1932
- Fax
- (404) 763-1610
- NPI assigned
- Aug 26, 2008
- Organization subpart
- Yes
- Parent organization
- TENDER LOVING CARE HEALTH CARE SERVICES OF GEORGIA, L.L.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul B Kusserow
- Title
- President
- Phone
- (225) 292-2031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 060-286 | GA | Primary |
Addresses
Primary practice location
2314 Sullivan Rd
Suite 120
College Park, GA 30337-6306
Mailing address
3854 American Way
Suite a
Baton Rouge, LA 70816-4013
Phone (225) 292-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000281905H | Medicaid | GA |
Other names 1
- Staff Builders Home Health
National Provider Directory
National Provider Directory- Tax ID family
- Tender Loving Care Health Care Services of Georgia LLC
- Part of
- Tender Loving Care Health Care Services of Georgia LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Staff Builders Home Health
- Home Health Agency
- Atlanta, GA
- NPI 1710133749
Locations
2314 Sullivan Rd
Ste 120
College Park, GA 30337
Phone (404) 684-1932
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Staff Builders Home Health, an Amedisys Company
- Home Health Agency
- Duluth, GA
- NPI 1235182767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488931200000",
"number": "1710134267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3854 AMERICAN WAY",
"address_2": "SUITE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164013",
"telephone_number": "225-292-2031",
"fax_number": "225-295-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 SULLIVAN RD",
"address_2": "SUITE 120",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303376306",
"telephone_number": "404-684-1932",
"fax_number": "404-763-1610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER LOVING CARE HEALTH CARE SERVICES OF GEORGIA, L.L.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TENDER LOVING CARE HEALTH CARE SERVICES OF GEORGIA, L.L.C.",
"enumeration_date": "2008-08-26",
"last_updated": "2017-03-08",
"status": "A",
"authorized_official_last_name": "KUSSEROW",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "225-292-2031",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "060-286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000281905H",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Staff Builders Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in College Park, GA
- Sharon Jordan Suso
- Riley R Swanson, DDS
- Swift Family Practice
- Syntech Medical
- Antonia Lamoi Taylor, MA-LAPC
- Nelson Tenebe
- The Bridge Organization Inc (The Bridge Consulting)
- The Family Health Centers of Georgia, Inc
- The Family Health Centers of Georgia, Inc
- The Family Health Centers of Georgia, Inc (The Family Health Center @ North Clayton High School)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.